Individual provider Active NPI

Samuel E Scaduto, OD

  • Optometrist
  • West Seneca, NY
National Provider Identifier
1790879872
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4079 Issued in NY
Practice address
3768 Seneca Street
West Seneca, NY 14224
Phone
(716) 674-8300
Fax
(716) 674-8302
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4079 NY Primary

Addresses

Primary practice location

3768 Seneca Street
West Seneca, NY 14224

Mailing address

3768 Seneca Street
West Seneca, NY 14224
Phone (716) 674-8300

Other identifiers 2

IdentifierTypeStateIssuer
NY4079OtherNYEYE MED
U0390005002OtherNYCB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000111 NY Practitioner - Optometry 1557328028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Consultants of Long IslandGroup PAC ID 8022909076, 107 clinicians

Practice addresses (Care Compare)

6333 Main St
Suite 1
Williamsville, NY 14221-5800
Phone (716) 632-3545

Merit-based Incentive Payment System (MIPS)

Final score
82.83 of 100Reported as group
Quality
85
Promoting interoperability
94
Improvement activities
40
Cost
62.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4079NYMDOptometrist
004079NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Long Island CurrentSince Sep 1, 2023 Accepting new patients
Council Opticians of West Seneca Optometrist Past Accepting new patients
Council Eye Care Inc Optometrist PastSince Jan 1, 2005 Accepting new patients
Ophthalmic Consultants of Long Island Past Accepting new patients
Infinity Eye OD PLLC Optometrist PastSince Jun 1, 2004 Accepting new patients

Locations

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

3670 S Benzing Rd
Ste J
Orchard Park, NY 14127
Phone (716) 631-3300

6333 Main St
Williamsville, NY 14221
Phone (716) 632-3545

6333 Main St
Ste 1
Williamsville, NY 14221
Phone (716) 632-3545

Interoperability endpoints

  • Direct secure messaging: samuel.scaduto.p1@direct.ocli.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1790879872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3768 SENECA STREET",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "14224",
            "telephone_number": "716-674-8300",
            "fax_number": "716-674-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 SENECA STREET",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "14224",
            "telephone_number": "716-674-8300",
            "fax_number": "716-674-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCADUTO",
        "first_name": "SAMUEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "NY4079",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CB",
            "identifier": "U0390005002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.